Nursing And Midwifery Journal
Year:2019 | Volume:17 | Issue:8 (121)|Papers Count:8

Background & Aims: Pregnancy period is a one of the most important stages in the life of women and in this period damage to the mother-child relationship causes creating grounds for mental disorders in a child. The most important factors related to mother-child relationship include spouse intimacy, attachment styles and mother positive and negative affect. As a result, Present research aimed to investigate the role of spouse intimacy, attachment styles and mother positive and negative affect in predicting mother-child emotional bond in during pregnancy. Material & Methods: This study was a cross-sectional from type of correlation. The research population was included pregnant women referred to clinics and doctor's office of obstetrics and gynecology of Urmia city in the first half of summer, 2018. In this research, 270 people were selected by random cluster sampling method. The research tools were questionnaire of spouse intimacy (Walker & Tompson, 1983), attachment styles (Van Oudenhoven & et al, 2003), positive and negative affect (Watson & et al, 1988) and mother-child emotional bond (Kitamura & et al, 2015). Data were analyzed by Pearson correlation coefficient and multiple regression methods. Results: The finding showed that spouse intimacy, secure attachment style and positive affect had a positive and significant relationship with mother-child emotional bond and preoccupied and fearful attachment styles and negative affect had a negative and significant relationship with mother-child emotional bond (p<0/05), but dismissing attachment style hadn’ t a significant relationship with motherchild emotional bond (p>0/05). Also the variables of spouse intimacy, attachment styles and mother positive and negative affect were able to predict 18/4 percent of the variance of mother-child emotional bond (p<0/05). Conclusions: The results indicate that spouse intimacy, secure attachment style and positive affect create the mother-child emotional bond in during pregnancy and fearful and preoccupied attachment styles and negative affect prevent the mother-child emotional bond in during pregnancy.

Background & Aims: The use of Response to Intervention approach for supporting of children's learning and development has captured the attention of educators, researchers, and policy makers. Therefore, The goals of present research are adapting the “ Care for Child Development “ program based on the Response to intervention and Determining its validity. Material & Methods: This study is a mixed method (qualitative-quantitative). The statistical population was all of the documents and experts related to the research topic. The data were collected using purposive and snowball sampling method. Interview, review of documents and researcher-made questionnaire. The analysis of the data obtained from the documents was done using inductive content analysis method and in the quantitative section, using descriptive statistical methods. Results: According to the content analysis, five steps including the analysis of the program and target groups, the determination of the dimensions and components of the new program, the introduction of the new program, the initial assessment and validation, were identified for adaptation. Based on these five steps, the adaptation program was carried out. The content validity index for the whole program was 0. 93 and its reliability was 0. 95. Conclusion: Quantitative and qualitative indicators showed that the proposed program had the proper validation features and could be considered as an applicable program in the health programs of Iran.

Background & Aims: Aging is growing in the world and chronic health problems are more prevalent at this age and are associated with more severe complications. One of these chronic diseases is chronic renal failure. Hemodialysis is the most common treatment for kidney replacement in these patients and it can cause stress. The aim of this study was to investigate the effect of self-management education on perceived stress in elderly patients undergoing dialysis. Materials & Methods: A non-randomized, quasi-experimental study was performed on 62 hemodialysis elderly patients in Ayatollah Taleghani Hospital in Urmia in 2018. First, using the cognitive test scale, the cognitive status of the samples was examined. Then, using the PSS tool scale, perceived stress scores were measured in both groups. In the intervention group, self-management education was held for six sessions of one hour (two sessions per week). The perceived stress level of patients in both groups was re-evaluated after one month after the last training session. Data were analyzed using SPSS software version 24 and descriptive statistics, paired t-test, and chi-square test. Results: The elderly were homogeneous for demographic information. Before the intervention, the perceived stress scores in the intervention (29/06) and control (29/86) groups did not show any significant difference. However, after the intervention, the mean scores of stress in the intervention group (26/96) showed a significant decrease (p <0. 001). Conclusion: Considering the impact of self-management training on reducing perceived stress in patients in this study, it is suggested to use this low cost and effective method for reducing stress in elderly patients undergoing hemodialysis.

Background & Aims: Sleep disorders is an important disorder in children. with limited medications for its along with unavoidable side effects. Due to well accept their efficacy by parents and low side effects of complementary and herbal medicine, there is an increasing tendency to use them to control sleep disorders. Few studies have investigated the relationship between sleep quality and herbal medicine use, so we aimed to investigate the prevalence of herbal medication, supplements, possible side effects, and its relationship with children's sleep quality. Materials & Methods: This cross-sectional study conducted on 282 children aged <10 years who admitted to the health care center of Qom city. The prevalence of complementary and alternative medicine, sleep difficulties during the last 6 months were measured. The multiple logistic regression was used to estimate the association between complementary and alternative medicine use and sleep quality. Results: The prevalence of herbal, vitamins, and mineral usage was estimated 30. 7%, 45. 7%, and 41%, respectively. The major indications for herbal, vitamins, and mineral use were cold (39. 5%), strengthening and providing energy (51. 5%), and prevention of anemia (67%). Age and parental education were significantly associated with vitamin usage. In addition, positive association were estimated between sleep quality and herbal (95% CI for OR [1. 05, 5. 8], P=0. 032) and mineral (95% CI for OR [1. 22, 5. 56], P=0. 01)) usage. Conclusion: The prevalence of complementary and alternative remedies among Iranian children is higher compared to global usage. Herbal usage indirectly affects the sleep quality of children. The educational programs related to complementary and alternative medicine among health stuff and parents is essential in order to improve the children's quality of life as well as well-being.

Background & Aims: The mortality rate index in the Intensive Care Unit (ICU) can be used to evaluate new treatments and specialist human resources and optimize resource allocation. Mortality in the ICUs of Iranian hospitals has been sporadically reported. The purpose of this study was to estimate the overall mortality rate of ICU patients in Iranian hospitals. Materials & Methods: A systematic review was conducted in SID, MagIran, PubMed, Scopus, Web of Science, and Google Scholar for related articles until November 2019. Also, the reference lists of key studies were checked for additional citations. Quality assessment of studies was performed using the STROBE checklist. The results of the studies were analyzed using Comprehensive Meta-Analysis (CMA) software version 2. Results: Twenty-six studies involving 8980 patients were included in the review. The findings of the meta-analysis indicated that the overall mortality in ICU patients was 29. 8% (95% CI, 0. 259_0. 34; P<. 05). The prevalence of mortality in men and women was 29. 8% (95% CI, 0. 211_0. 389; P<. 05) and 29. 2% (95% CI, 0. 235_0. 369; P<. 05), respectively. Conclusion: Mortality rate in ICU patients in Iranian hospitals is high compared to other countries. Therefore, resources and facilities should be considered in the ICUs.

Background & Aims: Smoking is one of the most common causes of death around the world, and it influences the physical and mental health of people. The rate of choosing a healthy lifestyle in men is less than that of women and the health of men working in field of health plays an important role in providing health services to people. So, the current research was conducted to examine the relationship between nicotine dependence and general health among male smokers at Urmia University of Medical Sciences. Materials & Methods: This descriptive-correlational study was conducted on 350 male smoker employees at Urmia University of Medical Sciences. Subjects were selected using convenient and targeted sampling. Research questionnaires included a 28-Question general health questionnaire (GHQ-28) and Fagerstrom’ s Test for nicotine dependence. Data were analyzed using descriptive and inferential statistics through SPSS-16 software. Results: The mean score for nicotine dependence and general health were 3. 33 ± 2. 31 (range of scores was from 0 to 10) and 23. 60 ± 13. 27 (range of scores from 0-84), respectively. In general, findings revealed a significant and direct correlation between general health scores and nicotine dependence. Conclusion: Subjects with less nicotine dependence showed a better health status. Reducing nicotine dependence can help improve physical and mental health of subjects and it can also help reduce the likelihood of depression and anxiety disorders.

Background & Aim: Premature baby birth and hospitalization in NICU is a potentially stressful event for the mother. This study investigates effects of expressive writing on stress and satisfaction of mothers from cares served in NICU. Materials & Methods: This study is a clinical trial that was carried on 91 mothers with infants in NICU was assigned to intervention and control groups. In the intervention group, expressive writing started from day 3 of hospitalization in NICU and continued to day 10. Parent's satisfaction questionnaire of care in NICU and parent's stress questionnaire at days 3 and 10 and PSS-14 COHEN at months 1 and 3 of hospitalization were completed by all mothers. Data analysis was performed using Chi-square, independent t-test. Results: Mean mother's stress scores at days 10 in compare with days 3 after hospitalization for intervention groups decreased but the difference was not statistically significant (p = 0/28). COHEN mean stress score after intervention at 1 and 3 months after hospitalization for intervention group was less than control group (P=0. 005). Mean mother's satisfaction score at days 10 in compare with days 3 after hospitalization for intervention group was more than control group that shows increase in satisfaction in intervention group (P=0. 000). Conclusion: Expressive writing significantly Increase levels of satisfaction and decreases levels of stress in mothers with infants in NICU.

Background & Aim: Breast cancer is one of the most common cancers in women, and today the survival of these patients has increased after diagnosis. But since survival is not the only issue, the purpose of this study was to investigate the quality of life and its related factors in women with breast cancer. Materials & Methods: This descriptive cross-sectional study was conducted on 106 breast cancer patients who were referred to Shahid Ramezanzadeh radiotherapy center in Yazd in 2016. QLQ-C30 and QLQ-BR23 questionnaires were used to collect information. Data were analyzed by SPSS-24 software using Univariate and multiple regression and Pearson correlation. Results: Findings showed that the most common problems were social function (83. 01 ± 18. 96) and hair loss (48. 48 ± 34. 52). The overall quality of life score was 64. 77 ± 18. 41. Univariate regression indicated a relationship between quality of life and marital status, education, and job (p <0. 05). Results of multiple regression showed a significant relationship (p <0. 05) between the quality of life and marital status. Also, there was a significant (p <0. 05) correlation between the quality of life and symptoms of the disease (except diarrhea and constipation). Conclusion: According to the results of this study, there is a relationship between marital status and symptoms of illness with the quality of life. Therefore, it is recommended to enhance the quality of life in these patients by increasing family support and improving the symptoms of the disease.